Review article

https://doi.org/10.21860/medflum2022_284684

Stroke rehabilitation

Nadica Laktašić Žerjavić orcid.org/0000-0003-1279-3928 ; Klinički bolnički centar Zagreb, Klinika za reumatske bolesti i rehabilitaciju, Zagreb, Hrvatska; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska
Luka Slivar ; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska
Porin Perić ; Klinički bolnički centar Zagreb, Klinika za reumatske bolesti i rehabilitaciju, Zagreb, Hrvatska; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska

Abstract

A stroke occurs abruptly, but it is in its essence a chronic condition. The stroke morbidity and mortality are still very high, and those surviving the stroke, in general, require acute hospital care, which then continues through subacute rehabilitation and ultimately reintegration into the community. Rehabilitation is carried out through a team interdisciplinary approach. Despite the efforts, there are still a lot of unmet needs of survivors who have suffered a stroke, starting with the availability of acute hospital care and subsequently by the availability and organisation of subacute rehabilitation and ultimately by the possibility of reintegration into the community. Rehabilitation should start during acute hospital care within the first 24 to 48 hours through early patient mobilisation. In the subacute phase, the outcome of rehabilitation directly depends on the number of hours per day spent in the rehabilitation program. For a successful outcome of rehabilitation, it is important to individually assess the damage and function using specific measuring instruments, and set individualised goals, and design a rehabilitation plan accordingly, and monitor the efficiency of rehabilitation program. The primary objective of rehabilitation is to establish independence in carrying out the activities of daily life. In the article the course of stroke rehabilitation, the primary and secondary damage to physical functions and structures after stroke, as well as the resulting limitations of activities, and principles of their rehabilitation are given.

Keywords

International Classification of Functioning, Disability and Health; Stroke; Stroke Rehabilitation

Hrčak ID:

284684

URI

https://hrcak.srce.hr/284684

Publication date:

1.12.2022.

Article data in other languages: croatian

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